Bir Hospital
A Model Hospital for Safe Environmentally Friendly Health Care Waste management in Nepal
The Issue

In the past, Bir Hospital was known for its improper waste management practices, dumping its medical waste on the street for collection by the municipal waste workers.


The waste handlers, rag pickers and all other members of the waste collection system were at risk from disease transmission, injury, chemical exposure and other health-related concerns.

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• Medical waste reduced by half.

• Infectious waste reduced by a third.

• Infectious waste is disinfected with validated steam-based autoclave.

• Recycling 53% of its waste, earning USD4,400 annually.

• Vermicomposting of cotton and gauze that are non-recyclable, to further reduce waste.

• Compost is used for non-food gardening in hospital.